| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.37 | $94.17 | $190.59 | |
Aetna
| Professional | $51.46 | $61.75 | $105.80 | |
BCBS
| Facility | $49.75 | $188.89 | $299.27 | |
BCBS
| Professional | $34.94 | $50.82 | $336.77 | |
Cigna
| Facility | $54.00 | $54.00 | $54.00 | |
Cigna
| Professional | $54.00 | $54.00 | $54.00 | |
Medica
| Facility | $50.40 | $63.50 | $75.00 | |
Medica
| Professional | $52.94 | $52.94 | $59.29 | |
United
| Professional | $52.94 | $52.94 | $52.94 |